Women's Retreat 2018

REFUND/TRANSFER POLICY: All fees are non-refundable; however, fees are transferable for another woman to attend the 2018 Women's Retreat. If a registrant is unable to attend, the registrant is responsible for locating a substitute to take her place.

PERSONAL INFORMATION

Title:

(i.e., Pastor, Rev., Min., Elder, Dr., First Lady, Deacon, Trustee, etc.)

Prefix
Ms.Miss.Mrs.

*Marital Status
SingleMarriedDivorcedWidowed
*Last Name:
*First Name:

*Street Address:

*Home Phone No.

*Cell Phone No.

*City:

*State:

Zip Code:

E-mail Adress

*Age Range:
18-3536-6566-100

*First Time Attendee?:
YesNo

Church Affiliation (if other than FBCHP):

*Will you need bus transportation to the retreat?:
YesNo

Special Needs (Dietary/Medical, etc.):

How did you hear about the retreat?:

*Required Fields

REGISTRATION/ACCOMMODATIONS
All rates listed below are per-person
ROOMMATE INFORMATION
Roommate Must Complete a Separate Registration Form

*Accommodations
$650** Single (1 person) Limited Availability$483** Double (per person) – (2 people)

Name:
E-mail Address:

Home Phone No.:

Deposit Amount:
$50$75$100$650.00-Single Occupancy$483.00-Double Occupancy

Cell Phone No.:

Single Room Payment Plan:
Monthly-$81.25 X 8 months=$650Bi-weekly-$40.62 X 16 weeks=$650Weekly-$20.31 X 32 weeks=$650

Double Room Payment Plan:
Monthly-$60.00 X 8 months=$483.00Bi-weekly-$30.18 X 16 weeks=$483.00Weekly-15.09 X 32 weeks=$483.00

Note: Please only select one payment option above either your Deposit Amount or your Selected Payment Plan

**Price includes: 2 nights lodging, 4 meals, coach transportation, registration package, baggage & handling, resort fees & taxes

If you do not indicate your roommate at the time of registration, or if they do not register by the deadline, we will maintain a Need a Roommate List.

EMERGENCY CONTACT

*Last Name:

*First Name:

*Home Phone No.:

*Cell Phone No.: